Provider Demographics
NPI:1245780873
Name:VALLEY IMAGING NETWORK, INC.
Entity Type:Organization
Organization Name:VALLEY IMAGING NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVETIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-332-1452
Mailing Address - Street 1:626 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6602
Mailing Address - Country:US
Mailing Address - Phone:702-332-1452
Mailing Address - Fax:888-796-0769
Practice Address - Street 1:626 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6602
Practice Address - Country:US
Practice Address - Phone:702-332-1452
Practice Address - Fax:888-796-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty